2024 AANA/ISAKOS Specialty Day All-Access Pass-Debate Speaker #1: Rotator Cuff Repair is the Way, Let Me Show You

Debate Speaker #1: Rotator Cuff Repair is the Way, Let Me Show You

Video Transcription

Video Summary

Dr. John Kelly discusses pseudoparalysis and surgical repair techniques for shoulder injuries, emphasizing restoring anatomy and avoiding harm. He highlights mentorship from Steve Burkhart and others, advocating for tension-free repairs using margin convergence, inferior release, and cortical humeral release. Sharing data, Kelly notes high success rates in improving function and healing. He critiques certain graft methods, favoring autografts over allografts due to infection and stretch concerns. Kelly endorses lower trapezius transfer and active patient engagement, cautioning on re-tear risk in older patients. His approach combines evidence-based techniques with practical considerations tailored to patient needs.

Asset Caption

John D. Kelly, IV, M.D., FAANA

Keywords

pseudoparalysis

shoulder surgical repair

margin convergence technique

autografts vs allografts

lower trapezius transfer